Provider Demographics
NPI:1568890010
Name:CHILDREN'S ACADEMY CT, INC.
Entity Type:Organization
Organization Name:CHILDREN'S ACADEMY CT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ALBONE
Authorized Official - Suffix:
Authorized Official - Credentials:CSP
Authorized Official - Phone:914-374-2601
Mailing Address - Street 1:65 HIGH RIDGE ROAD
Mailing Address - Street 2:UNIT 258
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905
Mailing Address - Country:US
Mailing Address - Phone:914-374-2601
Mailing Address - Fax:203-406-7753
Practice Address - Street 1:65 HIGH RIDGE ROAD
Practice Address - Street 2:UNIT 258
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905
Practice Address - Country:US
Practice Address - Phone:914-374-2601
Practice Address - Fax:203-406-7753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-20
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YS0200X, 103K00000X, 103T00000X, 103TC0700X, 103TR0400X, 103TS0200X, 103K00000X
CT9722695497103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty